Boston Medical Center (BMC)
21 hours ago Be among the first 25 applicants
Position Summary Are you passionate about making a difference in people’s lives? Join Boston Allied Partners as an LTSS Care Coordinator and play a key role in helping members live healthier, more supported lives.
Essential Functions
Engage members and families – Reach out to individuals referred into the program (primarily ages 3–21) to inform them about the option to receive LTSS Community Partner supports.
Create meaningful care plans – Partner with enrollees and their families to develop personalized LTSS care plans that reflect their preferences, goals, and needs.
Empower participation – Provide guidance and accommodations so members can fully understand LTSS services and actively participate, or even lead, their care planning process.
Collaborate across teams – Work with LTSS RNs, clinical care managers, PCPs, and other care team members to deliver a person-centered, comprehensive plan of care.
Connect to resources – Link members to social services, community resources, and state programs that address both medical and non-medical needs.
Support wellness – Provide health and wellness coaching, helping members set and achieve personal health goals.
Coordinate transitions – Assist members with smooth care transitions through timely assessments, transition planning, and follow-up support.
Stay connected – Maintain regular contact with members through phone calls, reassessments, and case conferences.
Grow with us – Participate in training sessions, team meetings, and professional development opportunities.
Other Duties: Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.
Supervision Received
Weekly and ongoing from Clinical Care Manager
Job Requirements
Education: (A.) LICSW or LCSW; (B.) Bachelor’s degree in social work, human services, nursing, psychology, sociology, or related field; (C.) Associate’s degree and at least one year of professional experience in the field; or (D.) at least three years of relevant professional experience.
Experience: Pediatric and/or Behavioral Health experience strongly preferred.
Preferred/Desirable: Experience working with Medicaid recipients and community services; experience with Epic, eHana, or other EHR system.
Certificates, Licenses, Registrations Required: Pre-employment background check; regular and reliable transportation and ability to conduct face-to-face appointments with members, providers, community and state agencies.
Knowledge And Skills:
Ability to visit consumers in the environment in which they reside such as the individual’s home, apartment, shelter, group home, etc.
Must possess advanced skills in consumer assessment and be able to assess the physical conditions of the consumer’s home as well as the consumer.
Exhibit interpersonal flexibility, initiative, and teamwork.
Solid organizational skills.
Second language is preferred.
Ability to use computer systems in various environments (mobile phone, desktop, tablet).
Ability to learn and utilize various software programs.
Acceptance of the right to self-determination.
Maintains consumers’ rights, privacy and confidentiality in all aspects of the job, including those relating to diagnosis and consumer records.
Promotes and employs ethical actions at all times with consumer’s families and others.
Participates in performance improvement activities as requested to do so.
Identifies and communicates opportunities for improvement.
Demonstrates excellent customer service by conducting daily activities, communications and interactions in a cooperative, positive and professional manner.
Proficient in reading, writing, and communicating in English.
Bilingual (e.g., Spanish, Haitian Creole, Cape Verdean Creole) preferred.
Communicate in a manner appropriate and respectful to the comprehension level of the consumer and/or family.
Maintains the responsibility for punctuality and attendance as defined in the agency policy to ensure optimal operation of the program.
Submits requests for vacation, days off, etc. in accordance with department policy.
Effort:
Regular and reliable attendance is an essential function of the position.
Work may be performed in a typical interior/office work environment or in a home office except when conducting face-to-face visits.
Face-to-face visits may be conducted in a member’s home, shelters, physician practices, hospitals, or at a mutually agreed upon location between the member and the care manager and with community and state agencies, as appropriate.
No or very limited physical effort required. No or very limited exposure to physical risk.
Equal Opportunity Employer/Disabled/Veterans
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Position Summary Are you passionate about making a difference in people’s lives? Join Boston Allied Partners as an LTSS Care Coordinator and play a key role in helping members live healthier, more supported lives.
Essential Functions
Engage members and families – Reach out to individuals referred into the program (primarily ages 3–21) to inform them about the option to receive LTSS Community Partner supports.
Create meaningful care plans – Partner with enrollees and their families to develop personalized LTSS care plans that reflect their preferences, goals, and needs.
Empower participation – Provide guidance and accommodations so members can fully understand LTSS services and actively participate, or even lead, their care planning process.
Collaborate across teams – Work with LTSS RNs, clinical care managers, PCPs, and other care team members to deliver a person-centered, comprehensive plan of care.
Connect to resources – Link members to social services, community resources, and state programs that address both medical and non-medical needs.
Support wellness – Provide health and wellness coaching, helping members set and achieve personal health goals.
Coordinate transitions – Assist members with smooth care transitions through timely assessments, transition planning, and follow-up support.
Stay connected – Maintain regular contact with members through phone calls, reassessments, and case conferences.
Grow with us – Participate in training sessions, team meetings, and professional development opportunities.
Other Duties: Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.
Supervision Received
Weekly and ongoing from Clinical Care Manager
Job Requirements
Education: (A.) LICSW or LCSW; (B.) Bachelor’s degree in social work, human services, nursing, psychology, sociology, or related field; (C.) Associate’s degree and at least one year of professional experience in the field; or (D.) at least three years of relevant professional experience.
Experience: Pediatric and/or Behavioral Health experience strongly preferred.
Preferred/Desirable: Experience working with Medicaid recipients and community services; experience with Epic, eHana, or other EHR system.
Certificates, Licenses, Registrations Required: Pre-employment background check; regular and reliable transportation and ability to conduct face-to-face appointments with members, providers, community and state agencies.
Knowledge And Skills:
Ability to visit consumers in the environment in which they reside such as the individual’s home, apartment, shelter, group home, etc.
Must possess advanced skills in consumer assessment and be able to assess the physical conditions of the consumer’s home as well as the consumer.
Exhibit interpersonal flexibility, initiative, and teamwork.
Solid organizational skills.
Second language is preferred.
Ability to use computer systems in various environments (mobile phone, desktop, tablet).
Ability to learn and utilize various software programs.
Acceptance of the right to self-determination.
Maintains consumers’ rights, privacy and confidentiality in all aspects of the job, including those relating to diagnosis and consumer records.
Promotes and employs ethical actions at all times with consumer’s families and others.
Participates in performance improvement activities as requested to do so.
Identifies and communicates opportunities for improvement.
Demonstrates excellent customer service by conducting daily activities, communications and interactions in a cooperative, positive and professional manner.
Proficient in reading, writing, and communicating in English.
Bilingual (e.g., Spanish, Haitian Creole, Cape Verdean Creole) preferred.
Communicate in a manner appropriate and respectful to the comprehension level of the consumer and/or family.
Maintains the responsibility for punctuality and attendance as defined in the agency policy to ensure optimal operation of the program.
Submits requests for vacation, days off, etc. in accordance with department policy.
Effort:
Regular and reliable attendance is an essential function of the position.
Work may be performed in a typical interior/office work environment or in a home office except when conducting face-to-face visits.
Face-to-face visits may be conducted in a member’s home, shelters, physician practices, hospitals, or at a mutually agreed upon location between the member and the care manager and with community and state agencies, as appropriate.
No or very limited physical effort required. No or very limited exposure to physical risk.
Equal Opportunity Employer/Disabled/Veterans
#J-18808-Ljbffr